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January 1965

Referred Pain in the Ear: Causes and Probable Nerve Pathways

Arch Otolaryngol. 1965;81(1):57-63. doi:10.1001/archotol.1965.00750050062013

Earache is still a common complaint in spite of the antibiotics. The resultant discomfort is often the only reason why a patient seeks the advice of an otolaryngologist. It is always wise to remember that it may be a dangerous symptom and should never be treated lightly. The severity of the pain does not in any way indicate the seriousness of the condition, so it is important to investigate each case carefully.

Although the incidence of acute mastoiditis has been greatly reduced since the introduction of the sulfa compounds and antibiotics, acute otitis media is frequently seen, especially in children.

Lesions of the external canal, such as a furuncle or diffuse external otitis can easily be diagnosed by moving the auricle. Although very painful at times these infections usually respond to local treatment and are not, as a rule, dangerous. Cerumen occasionally causes pain as well as foreign bodies, especially

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